MRS. DANA LETARD VICELLIO ED.S., LPC,
NPI 1316284276
Counselor - Professional in Zachary, LA
Active since January 12, 2013
About Mrs. Dana Letard Vicellio Ed.s., Lpc, NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DANA LETARD VICELLIO ED.S., LPC, (NPI 1316284276) is an individual professional provider in Zachary, Louisiana, licensed in Louisiana (9917) and active in the NPI registry since January 2013.
NPPES Registry Identity
NPI1316284276
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. DANA LETARD VICELLIOCredential: ED.S., LPC,
Location Address7600 PRIDE PORT HUDSON RDZachary, LA 70791-7462
Mailing Address7600 Pride Port Hudson RdZachary, LA 70791-7462 · (225) 324-8934
Phone(225) 324-8934
Sole ProprietorYes
Enumeration DateJanuary 12, 2013
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1316284276 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 9917
7600 PRIDE PORT HUDSON RD, Zachary, LA 70791
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316284276, enumerated as an "individual" on January 12, 2013.
The provider is located at 7600 PRIDE PORT HUDSON RD ZACHARY, LA 70791 and the phone number is (225) 324-8934.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
